دورية أكاديمية
أعرض في EDS

Relationship between availability of physiotherapy services and ICU costs.

التفاصيل البيبلوغرافية
العنوان: Relationship between availability of physiotherapy services and ICU costs.
المؤلفون: Rotta BP; Hospital do Servidor Público Estadual de São Paulo, São Paulo (SP) Brasil.; Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil., Silva JMD; Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.; JMS Ciência e Saúde, São Paulo (SP) Brasil., Fu C; Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil., Goulardins JB; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.; Universidade Nove de Julho, São Paulo (SP) Brasil., Pires-Neto RC; Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil., Tanaka C; Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.
المصدر: Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia [J Bras Pneumol] 2018 May-Jun; Vol. 44 (3), pp. 184-189.
نوع المنشور: Journal Article; Observational Study
اللغة: English; Portuguese
بيانات الدورية: Publisher: Sociedade Brasileira de Pneumologia e Tisilogia Country of Publication: Brazil NLM ID: 101222274 Publication Model: Print Cited Medium: Internet ISSN: 1806-3756 (Electronic) Linking ISSN: 18063713 NLM ISO Abbreviation: J Bras Pneumol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Brasilia, DF, Brasil : Sociedade Brasileira de Pneumologia e Tisilogia, [2004]-
مواضيع طبية MeSH: Exercise Therapy/*economics , Health Services Accessibility/*economics , Intensive Care Units/*economics, APACHE ; Adult ; Aged ; Brazil ; Exercise Therapy/statistics & numerical data ; Female ; Health Care Costs ; Health Services Accessibility/statistics & numerical data ; Humans ; Intensive Care Units/statistics & numerical data ; Length of Stay/economics ; Length of Stay/statistics & numerical data ; Linear Models ; Male ; Middle Aged ; Respiration, Artificial/economics ; Respiration, Artificial/statistics & numerical data ; Severity of Illness Index ; Statistics, Nonparametric ; Time Factors
مستخلص: Objective: To determine whether 24-h availability of physiotherapy services decreases ICU costs in comparison with the standard 12 h/day availability among patients admitted to the ICU for the first time.
Methods: This was an observational prevalence study involving 815 patients ≥ 18 years of age who had been on invasive mechanical ventilation (IMV) for ≥ 24 h and were discharged from an ICU to a ward at a tertiary teaching hospital in Brazil. The patients were divided into two groups according to h/day availability of physiotherapy services in the ICU: 24 h (PT-24; n = 332); and 12 h (PT-12; n = 483). The data collected included the reasons for hospital and ICU admissions; Acute Physiology and Chronic Health Evaluation II (APACHE II) score; IMV duration, ICU length of stay (ICU-LOS); and Omega score.
Results: The severity of illness was similar in both groups. Round-the-clock availability of physiotherapy services was associated with shorter IMV durations and ICU-LOS, as well as with lower total, medical, and staff costs, in comparison with the standard 12 h/day availability.
Conclusions: In the population studied, total costs and staff costs were lower in the PT-24 group than in the PT-12 group. The h/day availability of physiotherapy services was found to be a significant predictor of ICU costs.
التعليقات: Comment in: J Bras Pneumol. 2018 May-Jun;44(3):175. (PMID: 30043877)
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تواريخ الأحداث: Date Created: 20180726 Date Completed: 20190207 Latest Revision: 20190215
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6188682
DOI: 10.1590/S1806-37562017000000196
PMID: 30043883
قاعدة البيانات: MEDLINE
الوصف
تدمد:1806-3756
DOI:10.1590/S1806-37562017000000196